Individual
DR. JOEL MARK BURKAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
4 SWIMMING RIVER RD, SUITE 1, LINCROFT, NJ 07738-1727
(732) 792-0224
Mailing address
36 INDIAN PATH, MILLSTONE TOWNSHIP, NJ 07726-8081
(732) 792-0224
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35SI00316400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501643
AETNA PROVIDER ID NUMBER
NJ
Enumeration date
07/23/2006
Last updated
07/08/2007
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